Leaders
66. The pandemic threat
Apr 30th 2009 From The Economist print edition
It's deadly seriousso even if the current threat fades, the world needs to be better armed
66-1-312
IT IS said that no battle-plan survives contact with the enemy. This was certainly true of the plan drawn up over the past few years to combat an influenza pandemic. The generals of global health assumed that the enemy would be avian flu, probably passed from hens to humans, and that it would strike first in southern China or South-East Asia. In fact, the flu started in an unknown pig, and the attack came in Mexico, not Asia.
The hens, though, deserve some credit. The world has not had a pandemic (a global epidemic) of influenza since 1968. Four decades are long enough to forget that something is dangerous, and people might have done so had they not spent the past ten years considering the possibility that a form of bird flu which emerged in Hong Kong in 1997 might be one mutation away from going worldwide.
The new epidemic was raised on April 29th to just one notch below the level of a certified pandemic by the World Health Organisation. In an effort to halt the spread of the disease, Mexico's president, Felipe Calderon, has announced that non-essential services should close down between May 1st and 5th, and people should stay at home. Part of the reason for worry is that, unlike ordinary flu, which mostly carries off the old, the victims of this disease are mostly young and otherwise healthy.
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- no battle-plan survives contact with the enemy.
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- The hens, though, deserve some credit.
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- one mutation away from going worldwide.
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- The new epidemic was raised . . . the World Health Organisation.
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66-2-313
Still, this epidemic has not actually killed many people yet. That there have been a mere handful of confirmed deaths is probably the result of a lack of proper tests. But even if all the possibles are counted in, a couple of hundred fatalities cannot compare with the 30,000 deaths caused in America each year by seasonal influenza. So how scared should we be?
Damned if you do, damned if you don't
As far as this epidemic is concerned, it's too early to tell. One unknown is how widespread the virus is in Mexico. If it is ubiquitous, and had not been noticed earlier because it emerged during the normal flu season, then this epidemic may turn out to be insignificant, at least to start with. No flu death is welcome, but in this case the new disease might not increase the immediate burden greatly. But if the new strain is relatively rare, or what is being seen now is a more dangerous mutation of what had once been a mild virus, then the proportion of infected people dying may already be high. The death-toll, then, will rise sharply as the disease spreads.
Either way, the authorities were right to hit red alert. Influenza pandemics seem to strike every few decades and to kill by the millionat least 1m in 1968perhaps 100m in the 'Spanish' flu of 1918-19. And even those that start mild can turn dangerous.
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- As far as this epidemic is concerned
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- the proportion of infected people dying may already be high.
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